Menopause Belly: Understanding Water Retention and Bloating

Menopause marks a significant season in each woman's life, often accompanied by a myriad of changes in the body. One of the most common symptoms during menopause is the emergence of what is commonly referred to as "menopause belly." This article discusses the correlation between menopause and menopause belly, explaining its causes and accompanying symptoms. 

Whether you are dealing with undesirable menopause symptoms now or looking to the future, we hope this provides some insight into menopause belly and how to mitigate it. 


What is Menopause Belly?

As women transition into menopause, hormonal fluctuations occur, leading to changes in body composition. Estrogen levels decline, leading to an increase in visceral fat deposition in the abdominal area. At the same time, bloating and water retention also affect the midsection. This phenomenon is called “menopause belly,” which can cause discomfort and contribute to a protruding stomach.

What Causes Bloating During Menopause?

The most common cause of bloating during menopause is hormonal fluctuations. These fluctuations can begin in a woman’s forties or sometimes earlier during perimenopause, which is when the body first begins to transition into menopause and will continue to fluctuate until menopause is complete. 

In both perimenopause and menopause, dietary choices and lifestyle factors can also contribute to bloating. This includes eating habits, such as consuming excess sodium or carbonated beverages, as well as other factors like experiencing stress or not sleeping enough.

The severity of bloating can change throughout the day, causing frustration, inconvenience, and even stomach pain.

Water Retention vs. Gas Retention

It’s also important to note that while both water and gas retention cause bloating, there is a difference between the two. While water retention is primarily influenced by hormonal imbalances, gas retention can be attributed to digestive issues or lifestyle habits such as diet, exercise, stress, smoking, or swallowed air. Knowing the difference is helpful when making changes to address your symptoms. 

Symptoms of Menopause Belly Bloat

The symptoms of menopausal bloating can vary from person to person. Some women may experience a feeling of fullness or tightness in the abdomen, while others may notice visible swelling or puffiness. To effectively relieve your symptoms, it’s important to pay close attention to your body throughout the day. By differentiating between various water retention and gas retention symptoms, you can target different remedies and practices for relief.

Gas retention symptoms often include sensations of abdominal discomfort, cramping, and a feeling of being overly full, which are primarily attributed to the accumulation of gas in the digestive tract. This can result in bloating that fluctuates throughout the day, worsening after meals or during periods of high stress. 

Water retention symptoms, on the other hand, involve noticeable swelling or puffiness in the abdomen, hands, feet, or ankles. Women experiencing water retention may also notice weight gain or tightness in clothing due to the accumulation of excess fluid in their tissues. What’s more, water retention can be accompanied by other symptoms such as joint stiffness or aching, which are less commonly associated with gas retention. 

By understanding these distinctions in gas and water retention symptoms, you can better your chances of relief through targeted remedies to bloating. 

Perimenopause and Menopause Bloating Remedies

When it comes to managing bloating during perimenopause and menopause, a holistic approach is key. By embracing natural remedies and adopting healthy lifestyle practices, women can effectively manage bloating and improve overall well-being during this stage of life. 

Incorporating regular physical activity can help alleviate bloating by promoting healthy digestion and reducing stress levels. Activities like yoga, Pilates, and brisk walking are particularly beneficial, as they help stimulate digestion and relieve tension in the body. Yoga in particular offers a variety of poses, such as twists and gentle inversions, which can aid in digestion and provide relief from abdominal discomfort. Similarly, incorporating cardiovascular exercises like jogging or cycling into your routine promotes bowel regularity and reduces bloating by keeping the digestive system moving smoothly.

Stress management is another key component in combating bloating. The hormonal changes experienced during perimenopause and menopause can amplify stress levels, exacerbating bloating and other symptoms. Therefore, adopting stress-reducing practices such as mindfulness, deep breathing exercises, and relaxation techniques can significantly alleviate bloating and improve overall quality of life. All of these practices can help activate the body's relaxation response, reducing tension and promoting relaxation.

In addition to exercise and stress management, dietary modifications play a crucial role in managing perimenopausal bloating. Consuming a well-balanced diet rich in fiber from fruits, vegetables, and whole grains supports digestive health and prevents constipation, a common cause of bloating during perimenopause and menopause. 

Relief from Water Retention

When it comes to water retention, there are several targeted strategies women can employ to alleviate this issue and regain control over their bodies. Hydration plays a crucial role in managing water retention, as adequate water intake helps flush out excess sodium and toxins from the body. Aim to drink at least 8-10 glasses of water per day, and consider adding hydrating beverages like herbal teas or infused water to your routine.

Additionally, reducing sodium intake can help mitigate water retention by preventing the body from holding onto excess fluids. Avoid processed foods, which are often high in sodium, and opt for fresh, whole foods instead. Incorporating potassium-rich foods like bananas, spinach, and avocados into your diet can also help balance sodium levels and promote fluid balance.

Physical activity is another effective strategy for combating water retention during menopause. Engaging in regular exercise helps improve circulation and lymphatic drainage, reducing fluid buildup in the body. Aim for a combination of cardiovascular exercise, strength training, and flexibility exercises to support overall health and well-being. Activities like swimming, walking, and yoga are particularly beneficial for promoting lymphatic flow and reducing water retention. 

By implementing these particular strategies, you can effectively manage water retention during menopause and feel more comfortable and energetic during this stage of life.

Preventing Menopausal Bloat and Water Retention

You may be wondering whether there are any preventative strategies for managing menopausal bloat and water retention. To effectively manage and prevent bloating and water retention during menopause, you can implement various strategies before symptoms have begun, many of which overlap with the symptom management strategies we’ve discussed. 

Strategies include maintaining a well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins while limiting processed foods and sodium intake. Adequate hydration can help flush out toxins and reduce water retention. Regular exercise can promote circulation and lymphatic drainage, aiding in reducing fluid buildup. Managing stress through relaxation techniques also helps regulate hormone levels and reduce cortisol to minimize bloating.

Does Menopause Bloating Go Away?

Not to worry: menopausal bloating is often a temporary symptom that tends to diminish over time as hormone levels stabilize. However, the duration and persistence of bloating can vary from woman to woman. Factors such as overall health, lifestyle habits, diet, stress levels, and genetics can influence how long bloating persists during menopause. While some women may experience relief from bloating relatively quickly, others may find it lingering for a longer duration. Understanding these factors and implementing appropriate lifestyle adjustments and remedies can help alleviate bloating and support overall well-being during the menopausal transition. 

What Medications Reduce Bloating During Menopause?

There are a variety of medications and supplements that can offer you relief from bloating and improve your overall quality of life. Bioidentical hormones, which are derived from plant sources and have a molecular structure identical to hormones produced by the human body, are one option. These hormones, such as bioidentical estrogen and progesterone, can help balance hormone levels disrupted during menopause, potentially reducing bloating as a result. 

Additionally, certain supplements may alleviate bloating symptoms. For example, herbal remedies like black cohosh and evening primrose oil have been used to manage menopausal symptoms, including bloating, although their effectiveness varies among individuals. Probiotics can also promote gut health by restoring the balance of beneficial bacteria in the digestive system, potentially reducing bloating and other gastrointestinal issues. 

Make sure you consult Dr. Stracks or Michelle Archer before starting any medication or supplement regimen to address menopausal bloating. They can provide personalized recommendations based on your unique health needs and medical history. 

When to See a Doctor

While pesky bloating during menopause is common, certain red flags warrant medical attention. If you experience persistent or severe bloating that interferes with your daily activities, consult Dr. Stracks or Michelle Archer for help. Not only can they provide tailored recommendations to target your symptoms, they can make sure you don’t have another underlying condition. 

If bloating is accompanied by other concerning symptoms such as sudden weight loss, abdominal pain, changes in bowel habits, or rectal bleeding, seeking medical advice is especially crucial. These symptoms could indicate underlying serious medical conditions such as ovarian cancer, gastrointestinal disorders, or hormonal imbalances that require prompt diagnosis and treatment. 

Remember that early detection and intervention can lead to better outcomes, so don't hesitate to reach out to Cormendi Health if you have any concerns about your bloating symptoms during menopause. Dr. Stracks or Michelle Archer can conduct a comprehensive assessment, perform necessary tests or imaging studies, and recommend personalized treatment options to address your specific needs and improve your quality of life.


Menopause belly, often attributed to hormonal changes and lifestyle factors, can pose challenges when you are transitioning through this life stage. By understanding the underlying mechanisms, implementing targeted interventions, and seeing an experienced provider as needed, you can manage your bloating symptoms and promote your overall health and well-being.

If you struggle with menopause belly or other menopausal symptoms, Dr. Stracks at Cormendi Health can help. Dr. Stracks is a seasoned professional and expert in helping women move through this transitional season with ease and personalized medical support. Schedule an appointment today to get started and take your first step toward feeling better. You deserve to enjoy your daily activities and spend time with the people you care about without menopause symptoms holding you back.

 
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